Beruflich Dokumente
Kultur Dokumente
A.D. Balk
UNCLASSIFIED Nationaal Lucht- en Ruimtevaartlaboratorium
National Aerospace Laboratory NLR
Executive summary
UNCLASSIFIED
UNCLASSIFIED Safety of ground handling
NLR-CR-2007-961
A.D. Balk
No part of this report may be reproduced and/or disclosed, in any form or by any means without the prior
written permission of the owner.
Summary
In the area of commercial aviation worldwide, airlines suffer high costs from damage that
results from ground-related occurrences. Apart from the economic consequences, increased
safety risks are also of concern to the organisations involved.
In the past, steps have been taken to improve the level of safety at Schiphol Airport by
identifying the strengths and weaknesses in current policies, processes, procedures and activities
that have an impact on safety at, and around the airport. Safety management of ground handling
is one of the issues that requires attention. The main objective of this assignment is to identify
safety issues in the process of ground handling and explore solutions.
The ground handling process is reviewed and mapped to identify the existing risks of aircraft
damage. To support the data analysis, an overview is established of various actors, their
interfaces and their interdependency in terms of time. The purpose of the data analysis is to
identify ground handling phases and interfaces in which an increased risk of aircraft damage
exists and to investigate causal factors. Data is collected and analysed from past incidents and
accidents and the overall dataset (worldwide) is compared with the dataset of Schiphol Airport.
Additionally, the current regulatory framework and its applicability to ground handling are
reviewed.
The analysis shows a rate of one ground handling incident with resulting aircraft damage per
5000 flights. No significant difference in incident distribution is found between the overall
dataset and the Schiphol Airport dataset. Investigation into incident causes reveals that 61% of
the incidents are caused when an interface is established between the aircraft and ground
handling equipment. Most incidents occur when the aircraft is parked, of which 90% is caused
by actors and 10% by the aircraft itself. Damage is most frequently inflicted by actors that
attach vehicles or equipment to the aircraft passenger- or cargo door. For a certain amount of
cases in which internal damage is found in the aircraft, no cause is specified or found. This kind
of unreported damage poses the highest risk to flight safety, as the damage has either not been
noticed, or otherwise not been reported.
In the current regulatory framework, ground handling safety is a shared responsibility between
operators and airports. Regulations do not require organizations present on the airport to have an
operational safety management system or meet minimum safety standards. Current
developments in mandatory reporting systems may create a good opportunity to identify and
assess actual risk levels in the ground handling process, provided that all applicable information
is forwarded to the National Aviation Authorities for further analysis.
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Contents
1 Introduction 7
1.1 Background 7
1.2 Objective 8
1.3 Scope 8
2 Methodology 9
2.1 Risk identification 9
2.1.1 Ground handling process 9
2.1.2 Data analysis 11
2.2 Regulatory framework 12
3 Results 12
3.1 Risk identification 12
3.1.1 Ground handling process 12
3.1.2 Data analysis 13
3.2 Regulatory framework 25
References 30
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Abbreviations
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1 Introduction
1.1 Background
In the area of commercial aviation worldwide, airlines suffer approximately US$ 4.000.000.000
from damage that results from ground-related occurrences. Recently an even higher estimate of
US$ 10.000.000.000 has been indicated by the Flight Safety Foundation. Added to the
economic consequences that result from the damage, increased safety risks are also of concern
to the organisations involved.
Concerns about ground safety have also been addressed by several organisations in the
Netherlands. Advising organisation KplusV has been tasked in 2005 by the
Veiligheidsadviescommissie Schiphol (VACS) to conduct a safety survey of Schiphol Airport.
According [KplusV, 2005] the purpose of the survey is to contribute to a process of continuing
improvement of the level of safety at Schiphol Airport by identifying the strengths and
weaknesses in current policies, processes, procedures and activities that have an impact on
safety at, and around the airport. The survey has been completed and several advices are
included in the final report, which has been issued on August 31st 2005.
In 2006, the VACS has evaluated the follow-up of the advices made by KplusV and has
concluded that not all advices have appropriately been addressed by the several actors involved.
Issues that still need follow-up are included in [VACS, 2006], which has been issued on
December 18th 2006.
Safety management of ground handling is one of the issues that still need follow-up. KplusV
has advised both Dutch Government and the aviation sector present at Schiphol Airport to
develop projects to promote safety awareness in ground handling and incorporate this in safety
management. The following key issues with regard to ground handling at Schiphol Airport have
been identified:
Consolidation of the safety culture;
Consolidation of the safety management system;
Improvement of supervision on safety;
Development and accentuation of requirements to improve safety.
Whereas the aviation sector plays a vital role in consolidation of a safety culture and a safety
management system, the role of Government is essential to make both endure. When the
consolidated safety culture and safety management system is embedded in policies and
standards, a regulatory framework is developed to assure commitment to safety regulations by
all actors involved.
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1.2 Objective
The main objective of this assignment is to identify safety issues in the process of ground
handling and explore solutions.
A further breakdown results in the following underlying objectives:
Identify and assess the safety risks in ground handling; by
o Identifying actors involved in ground handling;
o Investigating the role of the various actors in the accident/incident cause;
Explore solutions to improve ground safety;
Investigate the institutional aspects of ground safety.
1.3 Scope
Starting point in defining the scope of this assignment is to define ground handling. For this
purpose, the International Air Transport Association (IATA) definition is used:
Ground Handling covers the complex series of processes required to separate an aircraft from
its load (passengers, baggage, cargo and mail) on arrival and combine it with its load prior to
departure.
As the assignment focuses on risk identification, the scope is further specified by using the
definition from the CAST/ICAO Common Taxonomy Team (CICTT) for occurrence categories.
CICTT defines ground handling (ramp) as Occurrences during (or as a result of) ground
handling operations. The following usage notes are provided by CICTT:
Includes collisions that occur while servicing, boarding, loading, and deplaning the aircraft.
Includes propeller/rotor/fan blade strikes.
Includes pushback/powerback/towing events.
Includes Jet Blast and Prop/rotor wash ground handling occurrences.
Includes aircraft external preflight configuration errors (examples: improper loading and
improperly secured doors and latches) that lead to subsequent events.
Includes all parking areas (ramp, gate, tiedowns).
Except for powerback events, which are coded here, if a collision occurs while the aircraft
is moving under its own power in the gate, ramp, or tiedown area, code it as a ground
collision (GCOL).
The last bullet (italics) of the CICTT definition is ignored in this assignment, as this would
exclude collisions with ground handling equipment or vehicles when the aircraft is taxiing in,
parking on the aircraft stand, or taxiing out. Another motivation to include ground handling
incidents during taxiing is that responsibilities of ground handling or maintenance organisations
extend to the taxiway (e.g. pushback and removal of the nose gear steering bypass pin). The
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various areas in which ground handling operations take place are shown in Appendix A. It
should be noted that for the purpose of this assignment any de/anti-icing platform is also
considered as aircraft stand.
To set the final scope of the assignment, ground handling occurrences are confined to risks of
aircraft damage. Collisions between vehicles/equipment on taxiway or various areas on the
aircraft stand are not taken into account.
Only normal operations during ground handling are reviewed. Factors complicating ground
handling and possibly increasing risk levels are summarized but not further analyzed.
2 Methodology
This chapter describes the methodology to be used to fulfil the objectives from paragraph 1.2.
Firstly the methodology is described to identify risks during ground handling ( 2.1). Secondly
it is described how the regulatory framework applicable to Schiphol Airport is investigated
( 2.2).
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To accomplish a more detailed analysis, the phase Taxi from runway is divided into taxi-in and
docking. Docking is defined as the phase when flight crew parks the aircraft on the aircraft stand
marking under guidance of a marshaller or visual docking guidance system (VDGS). This phase
ends when the aircraft ceases to move under its own power.
Also the phase Pushback/towing is divided, in which pushback is defined as aircraft movement
from the gate, ramp, or parking area, assisted by a tow vehicle. Towing is defined as aircraft
movement to the gate, ramp, or parking area, and movements from or to the hangar, assisted by a
tow vehicle. Table 2 contains the phases and their definitions.
Phase Definition
Taxi-in Begins upon exiting the landing runway and terminates upon arrival at the gate,
ramp, apron, or parking area, when the flight crew is parking the aircraft on the
aircraft stand marking under guidance of a marshaller or visual docking
guidance system.
Docking Begins when the flight crew parks the aircraft on the aircraft stand marking
under guidance of a marshaller or visual docking guidance system and
terminates when the aircraft ceases to move under its own power.
Standing Prior to pushback or taxi, or after arrival, at the gate, ramp, or parking area,
while the aircraft is stationary.
Pushback Aircraft movement from the gate, ramp, or parking area, assisted by a tow
vehicle.
Towing Aircraft movement to the gate, ramp, or parking area, and movements from or
to the hangar, assisted by a tow vehicle.
Taxi to runway Commences when the aircraft begins to move under its own power leaving the
gate, ramp, apron, or parking area, and terminates upon reaching the runway.
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Only normal operations during ground handling are reviewed, as several complicating factors
may arise during actual ground handling operations, such as the presence of:
Security staff
Cargo specialists (load controllers, dangerous goods specialists, grooms)
Wingwalkers
Police
Ambulance
Rescue and Fire Fighting (RFF)
Aviation/Airport Authorities (IVW, AAS, other parties)
Data is collected and analysed from past incidents and accidents. Absolute incident numbers, as
well as incident rates are assigned to the various phases and interfaces. The analysis identifies
what interfaces (and thus actors) are most frequently involved in aircraft damage and during
which phase of the ground handling process aircraft damage is most frequently inflicted.
Data sources
The NLR Air Safety Report database is used to provide a dataset of incidents of aircraft damage
inflicted during ground handling. Flight crew report unsafe occurrences they have encountered
during operations by means of an Air Safety Report (ASR). The NLR ASR database is
compiled from several databases from different European and non-European airlines. It contains
data of commercial operations with Western-built aircraft of more than 5.700 kg maximum
take-off weight. A number of parameters/descriptors have been included in the database, e.g.
date of occurrence, aircraft type, flight phase, a narrative and descriptive factors. Especially the
narrative contains relevant information for the review and analysis.
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Incidents in which damage is inflicted to helicopters during ground handling are excluded from
the dataset, because they are considered not relevant in the context of this assignment.
The query results in 2841 incidents. Each record of the data sample is reviewed to identify the
phase in which the incident occurs and what interface or actor is involved. The analysis of
causal and contributing factors depends on the quality of the ASRs. Many incidents could not be
analyzed in more detail because reporters did not report any factors, causes, or did not specify
the circumstances in the report.
3 Results
This chapter describes the results of the risk identification ( 3.1) and provides the current
regulatory framework applicable to Schiphol Airport ( 3.2).
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Actor Equipment
Operator (airline) Aircraft
Airport Jetway, visual docking guidance system, marshaller
Ground Handling Aircraft stairs, conveyor belts, baggage carts, cargo loaders, cargo
Organization (GHO) dollies, Ground Service Equipment (GSE), pushback truck
Maintenance Vehicle, maintenance stairs, maintenance dock, aircraft jacks
Fuel provider Fuel/hydrant trucks
Catering Catering trucks
Cleaning Cleaning trucks
Toilet service Toilet service truck
Potable water service Potable water service truck
De/anti-icing De/anti-icing truck/rig
Note 1: Depending on contract arrangements, several actors may be part of one organisation.
Note 2: Depending on time available, contract arrangements and type of operation, not all actors are necessarily involved
A typical handling arrangement and the various actors involved in ground handling of a large
aircraft (Boeing 747-400) are shown in Appendix B. It should be noted that for the purpose of
this assignment any de/anti-icing platform is also considered as ground handling area.
Appendix C shows the ground handling process and the specific activities that are performed by
the actors involved. Also the interdependency of the several activities is shown, as some of them
cannot start before another is completed.
To put aircraft damage during ground handling into perspective in relation to the total number
of incidents (in-flight and ground), the distribution between in-flight incidents and ground
incidents is shown in figure 1.
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Incident distribution
26.4% of the total number of incidents is categorized as ground incidents. Of this total, 0.9%
result in aircraft damage.
Hereafter, ground occurrences that resulted in aircraft damage are referred to as ground
incidents.
In the next step the distribution of the ground incidents over the various phases is investigated.
Analysis results for the overall dataset are shown in Appendix D. Results for the Schiphol
Airport dataset are shown in Appendix E.
The Chi2 analysis has been performed to verify whether there is a significant difference between
the incident distribution in the overall- and Schiphol Airport dataset. In order to perform the
analysis, the incidents that occurred at Schiphol Airport are subtracted from the overall dataset,
which results in a comparison between a Schiphol Airport dataset and a rest of the world
dataset. This analysis shows that there is a 96.7% probability that the incident distribution at
Schiphol Airport corresponds with the rest of the world dataset. As no significant differences
are found, analysis results of incident distributions are compared in Appendix F and not in this
chapter.
Figure 2 shows that the majority (84%) of ground incidents is caused when the aircraft is
standing, i.e. when the aircraft is stationary. For Schiphol Airport this percentage is slightly
higher (92%).
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Pushback
7%
Taxi to
Standing
runway
84%
2%
Towing
2%
Taxi-in
1%
Docking
4%
The following interfaces with the aircraft are identified to investigate the role of various actors
in ground incidents:
Jetway
Stairs
Conveyor belt
Baggage truck/cart
Cargo loader
Cargo dolly
GSE (Ground Power Unit (GPU), jet starter, towbar, etc.)
Fuelling/hydrant truck
Catering truck
Cleaning truck
Maintenance equipment (vehicle/stairs/dock/jack)
Toilet service truck
Potable water truck
De/anti-icing truck/rig
Unspecified/other vehicle
Other aircraft (i.e. aircraft aircraft collision)
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The tables in Appendix D and E also provide a distinction between the interfaces and other
causes.
Investigation into the major incident causes in the overall dataset reveals that 61% of the
incidents are caused when an interface is established between the aircraft and ground handling
equipment (at least one of the actors is moving). The remaining 39% is inflicted by other causes
on the airport. In the Schiphol Airport dataset this relation is 69% versus 31% respectively.
As the majority of incidents is caused when interfaces between the aircraft and ground handling
equipment are established, the causal factors in the interfaces are investigated first.
Interfaces
To identify the interfaces that most frequently cause aircraft damage, a distinction is made
between self-inflicted damage to the aircraft (i.e. aircraft movement caused the damage) and
damage inflicted to the aircraft by ground vehicles or equipment, or other aircraft (actors).
Figure 3 shows the incident cause per phase from the overall dataset.
1400
1288
1200
Number of incidents
1000
800
600
400
136
200 80.5 63 87
8.5 5.5 12.5 26 6 22 12
0
Taxi-in Docking Standing Pushback Taxi to runway Towing
Phase
This confirms that the risk of damage is highest when the aircraft is parked, which is expected
due to the numerous activities around the aircraft during this phase. The role of the actors during
the phase Standing is significant and needs further investigation. More subtle is the role of the
aircraft, which causes damage in all phases, even when the aircraft is stationary.
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Figure 4 assigns the incident numbers to the specified interfaces, irrespective of incident cause.
Jetway
Incident distribution per interface (overall) Stairs
Conveyor belt
250 Baggage truck/cart
Cargo loader
Cargo dolly
GSE
Fuel/hydrant truck
200 Catering truck
Cleaning truck
Maintenance equipment
Toilet service truck
Potable water service truck
Number of incidents
100
50
0
Taxi-in Docking Standing Pushback Taxi to runway Towing
Phase
The graph provides an indication about what interfaces are most frequently involved when
damage is inflicted to the aircraft. Top five interfaces are (summed over all phases):
Other/unspecified vehicle (15.3% of total incidents)
Jetway (13.8% of total incidents)
Catering truck (10.8% of total incidents)
Ground Service Equipment (9.9% of total incidents)
Stairs (8.9% of total incidents)
The Schiphol Airport dataset provides some differences in top five interfaces:
Baggage truck/cart (18.0% of incidents at Schiphol Airport)
Catering truck (13.4% of incidents at Schiphol Airport)
Jetway (13.0% of incidents at Schiphol Airport)
Other/unspecified vehicle (10.3% of incidents at Schiphol Airport)
Stairs and conveyor belt (both 9.6% of incidents at Schiphol Airport)
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To enhance the transparency in incident distribution, separate figures are created for each phase,
specifying which interfaces are involved in the incident and whether the incident is caused by
the actor or aircraft. Figure 5 shows the incident distribution during taxi-in.
Other aircraft
4
Actor caused collision
Baggage truck/cart
Other/unspecified vehicle
De/anti-icing truck/rig
3
Fuel/hydrant truck
Cargo loader
GSE
1
1
Aircraft caused collision
When compared to the other phases that were reviewed, the number of incidents in which
damage was inflicted to the aircraft is lowest during taxi-in (see Figure 2). This number
corresponds with 0.0027 ground incidents per 1000 flights.
Also a small amount of interfaces is involved (7), which may be caused by the fact that taxi-in
not necessarily takes place in the confined space of the ramp area, making the traffic density
less than when the aircraft is parked on the aircraft stand. Additionally, during taxi-in no
interfaces with any actor in the ground handling process should exist, since the aircraft is taxiing
on its own power and actors have no responsibilities with regard to establishing aircraft
interfaces during taxi-in (see Appendix C).
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30
25
Actor caused collision
20
De/anti-icing truck/rig
Baggage truck/cart
15
Fuel/hydrant truck
Catering truck
Other/unspecified
Cleaning truck
Conveyor belt
Cargo loader
Jetway
Other aircraft
vehicle
10
Stairs
GSE
0
5
Aircraft caused collision
10
15
20
25
30
When the aircraft crosses the aircraft stand clearance line, traffic density likely increases due to
the various actors moving and parking on, or near, the confined area of the aircraft stand. This
increase is also shown in the number of incident causes, as more interfaces (12) are involved
during docking than during taxi-in of the aircraft. However, no interfaces with actors should be
present yet, as the aircraft is still moving on its own power and is parked by the flight crew
either under guidance of a marshaller or a VDGS.
The incident rate of aircraft damage during docking is 0.0078 per 1000 flights and represents
4% of the ground incidents that caused aircraft damage. It is noticed that 87% of the collisions
is caused by movement of the aircraft itself. Primary cause is insufficient clearance during
marshalling. Peaks are noticed for jetway contact and contact with fuel/hydrant trucks.
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Figure 7 shows the incident distribution when the aircraft is stationary on the aircraft stand.
225
200
Actor caused collision
175
150
125
100
75
50
25
0
Other aircraft
Fuel/hydrant truck
Cleaning truck
De/anti-icing truck/rig
Conveyor belt
Baggage truck/cart
Catering truck
Other/unspecified
GSE
25
Cargo loader
Stairs
Maintenance
vehicle
equipment
Jetway
50
Aircraft caused collision
truck
75
100
125
150
175
200
225
When the aircraft is parked on the aircraft stand and is stationary, all actors that have been
identified (16) start servicing the aircraft at some stage. As a result of the high number of actors
in the confined space of the aircraft stand, all defined actors are represented in the incident
causes. Of the total amount of ground incidents with aircraft damage as result, 84% is caused
when the aircraft is stationary, which corresponds with a rate of 0.1714 incidents per 1000
flights.
It is noted that, although the highest number of incidents is caused by actors (90%), still 10% is
caused by the aircraft. The main cause that accounts for these 10% is that the aircraft settles
during fuelling, passenger (dis)embarkation and (un)loading. Although the aircraft is stationary,
it may still move in the vertical pane when mass is added or removed. When required clearances
with the aircraft doors or fuselage are not kept, settling of the aircraft may cause aircraft
damage.
Specific interfaces that make the aircraft vulnerable for damage caused by settling can be
identified. Damage to aircraft exits (doors) is caused when the aircraft settles on the jetway or
stairs. Damage to the fuselage is inflicted when the aircraft settles on ground handling
equipment that is positioned underneath the aircraft fuselage (maintenance equipment and
GSE). Also in some occasions (cargo) doors are opened without sufficient clearance with the
jetway, ground vehicles or equipment.
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When the actor other/unspecified vehicle is excluded, 5 of the top 6 interfaces attach vehicles
or equipment to the aircraft passenger or cargo doors. The remaining interface in the top 6 is the
interface with baggage trucks/carts. The Schiphol Airport dataset shows a similar pattern,
although baggage trucks and carts most frequently inflict damage to the aircraft.
A high number of damages inflicted by catering trucks is noticed, but it should be taken into
consideration that even smaller commercial aircraft are serviced with two catering trucks at
once, thereby increasing the traffic density on the aircraft stand. The same applies to cargo
loaders and baggage trucks/carts.
60
50
Actor caused collision
40
30
20
10
0
Stairs
Maintenance
Cargo loader
Fuel/hydrant truck
Baggage truck/cart
De/anti-icing truck/rig
equipment
Other/unspecified
10
GSE
Aircraft caused collision
Jetway
vehicle
Other aircraft
20
30
40
50
60
Of the total amount of ground incidents with aircraft damage as result, 7% is caused during the
pushback, which corresponds with a rate of 0.0134 incidents per 1000 flights. Although the
causes are more or less evenly spread between aircraft (42%) and actors (58%), it should be
noticed that the aircraft is not moved by its own power, but by a pushback truck. Therefore,
most damage caused by the aircraft is in fact caused by incorrect manoeuvring of the pushback
truck. For example, the jetway or toilet service truck may still be attached to the aircraft when
the pushback is started. Underlying causes may be miscommunication, impaired vision or
insufficient clearance from other actors vehicles or equipment.
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A total amount of 12 interfaces are involved with regard to aircraft damage during the pushback,
but peaks are shown for interfaces with GSE and other/unspecified vehicles. Many incidents
relate to failing towbars with resulting aircraft damage, or to collisions with the pushback truck
due to incorrect use of the aircraft parking brake. The interfaces of the aircraft with the towbar
and pushback truck should be the only existing interfaces during the pushback.
Pushback operations consist of a complex set of procedures, responsibilities and moving
hardware interfaces (aircraft towbar pushback truck). Additionally, staff of several
organizations is involved (flight crew, GHO, maintenance). Complicating factors, such as a
slippery ramp surface or impaired vision may result in an uncontrolled pushback and an
increased risk of collision.
10
Actor caused collision
De/anti-icing truck/rig
Other/unspecified
Other aircraft
Fuel/hydrant truck
vehicle
GSE
Jetway
Stairs
0
Aircraft caused collision
10
The incident rate of aircraft damage during taxi to runway is 0.0042 per 1000 flights and
represents 2% of the ground incidents that cause aircraft damage. It is noticed that 81% of the
collisions is caused by movement of the aircraft itself. No interfaces with other vehicles or
equipment should exist during taxi to runway.
When compared to the taxi-in phase, it is noticed that the same amount of interfaces (7) are
involved in incident causes, of which 5 cause damage in both phases. The major difference in
the remaining 2 interfaces is that during taxi to runway, damage to jetways and stairs is only
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caused by the aircraft itself, whereas these 2 interfaces are not represented as incident cause
during taxi-in.
15
GSE
Actor caused collision
10
Other/unspecified
Baggage truck/cart
vehicle
Conveyor belt
Catering truck
Other aircraft
5
Jetway
Stairs
0
Aircraft caused collision
10
15
Of the total amount of ground incidents with aircraft damage as result, 2% is caused when the
aircraft is being towed. This corresponds with a rate of 0.0035 incidents per 1000 flights.
Similar as during pushback operations, it should be noticed that the aircraft is not moved on its
own power, but by a tow truck. A total number of 8 interfaces are identified as incident causes.
Of the incidents, 65% is caused by the aircraft, whereas the other 35% is primarily caused by
GSE. As already has been noticed during the pushback phase, many incidents relate to failing
towbars with resulting aircraft damage.
Other
Striking numbers in the other causes of aircraft damage are the incidents in which damage is
found but its origin not specified (27% of total incidents), and damage that is caused during
(un)loading (7% of total incidents). The Schiphol Airport dataset provides more or less similar
results of 20% and 9% respectively.
Reasons for the high number of damages for which its origin has not been specified may be that:
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The original report was provided without sufficient details to specify the origin of the
damage; or
The damage was found by another party, which implies that the original damage had not
been noticed or reported.
Damage to the aircraft interior caused during (un)loading may have several causes:
Pallets were built-up outside contours;
Shifting cargo/baggage; or
Rough cargo/baggage handling.
It should be noted that when damage is found inside the cargo holds or main cargo deck before
(un)loading, the original damage may not have been noticed or reported by the personnel
responsible for loading the previous flight(s).
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Safe operation during ground handling is desired by all organizations involved. However, from
a regulatory point of view, safe operation is a shared responsibility of only two of the actors: the
operators and the airport.
Operators are partially responsible for safe operation during ground handling, since JAR-OPS 1
requires that procedures for ground staff have to be established, ground staff have to be trained
and that no person endangers the aircraft or occupants. The operator also has to appoint a
nominated postholder who is responsible for management and supervision of ground operations.
The operators quality system should assure compliance with, and adequacy of, procedures
required to ensure safe operational practices. Some procedures are more specifically described,
like fuelling, pushback/towing, de/anti-icing and loading of the aircraft. Means to monitor safe
operational practices are the by JAR-OPS 1 required accident prevention and flight safety
programme, and the occurrence reporting system.
As the aircraft is the focal point of all ground handling activities, the operator is involved in all
interfaces with ground handling vehicles and equipment. JAR-OPS 1 has to be used as basic
principle for developing specified procedures for ground handling activities, which have to be
embedded in contract arrangements with the contracted parties. Contract arrangements should
also include arrangements for (recurrent) training of ground handling staff.
The airport is also partially responsible for safe operations during ground handling, as it has to
comply with regulations set out in ICAO Annex 14. Although ICAO Annex 14 primarily
concerns airport facilities, some operating procedures are included with regard to driving on the
apron. An overlap with JAR-OPS 1 regulations is noticed in procedures for fuelling with
passengers on board.
ICAO Annex 14 paragraph 1.4 requires that as per 27th November 2003, States shall certify
aerodromes used for international operations in accordance with the specifications contained in
the Annex, as well as other relevant ICAO specifications through an appropriate regulatory
framework. The Dutch Ministerie van Verkeer en Waterstaat has adopted this regulation in the
Regeling certificering luchtvaartterreinen (RCL), which states that aerodromes should have an
operational Safety Management System (SMS) as per 25th November 2005. Based on the
Regeling Toezicht Luchtvaart (RTL), certification of aerodromes is currently done on a
voluntary basis. Schiphol Airport has initially been certified in accordance with RCL in 2004
and on 4th July 2007 the certificate has been extended for another three years.
RCL applies only to the airport proprietor, so it requires that internal company processes are
established in such a way that they assure safe operations. It states that airports are not
responsible for safe operations of other organizations present on the airport. However, airports
are authorized by means of the Algemeen Luchthavenreglement to enforce additional
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Regulations on security and occurrence reporting enclose all organizations in the aviation
sector, i.e.:
EC 2320/2002 (Common rules in the field of civil aviation security);
Richtlijn 2003/42/EG (Melding van voorvallen in de burgerluchtvaart).
Although not directly related to the ground handling process, security regulations may influence
ground handling activities. On-board security checks may have to be performed, which have to
be accommodated in the ground handling process. To make the turnaround time as short as
possible, certain security tasks may be assigned to other organizations like cleaning- or ground
handling staff.
The objective of Richtlijn 2003/42/EG is to contribute to safety improvement in the aviation
industry by collecting, storing, protecting and distributing safety information. The Richtlijn
requires operators, airports, maintenance companies, Air Traffic Control (ATC) and ground
handling organizations to report occurrences that could affect flight safety to the National
Aviation Authorities. Organizations that provide catering, cleaning, toilet service and potable
water service are not specifically mentioned, but according the Algemeen Luchthavenreglement
these organizations should report such occurrences to the airport proprietor. Required reporting
of occurrences by all actors involved in ground handling may improve safety awareness and
provide a basis for safety improvement.
It is, however, noticed that several options to report occurrences are present for organizations
involved in ground handling. Since operators at Schiphol Airport manage their own occurrence
reporting system, contract arrangements with other parties may include a clause which requires
that occurrences are reported to the operator. Organizations present at Schiphol Airport have to
adhere to the Algemeen Luchthavenreglement, which already contains a clause which requires
that occurrences are reported to the Airport Authorities. Apart from these two reporting lines,
there is always the option for organizations to report directly to the National Aviation
Authorities. The various reporting lines may lead to scattered information present at either the
operator, Airport Authorities or National Aviation Authorities. Additionally, several (different)
reporting filters may be applied by operators or airports before occurrences are reported to the
National Aviation Authorities. When no clear reporting standards on what to report are
27
NLR-CR-2007-961
established and agreed upon by all actors involved, valuable information is denied to the
National Aviation Authorities, which have the means and authority to implement measures to
improve safety.
The analysis shows a rate of one ground handling incident with resulting aircraft damage per
5000 flights. Most incidents occur when the aircraft is parked.
Except from the fact that no incidents during the taxi-in phase are reported in the Schiphol
Airport dataset, no specific differences in incident distribution between the overall dataset and
the Schiphol Airport dataset is found.
Investigation into the major incident causes in the overall dataset reveals that 61% of the
incidents are caused when an interface is established between the aircraft and ground handling
equipment. The remaining 39% is inflicted by other causes on the airport. In the Schiphol
Airport dataset this relation is 69% versus 31% respectively.
Of the incidents when the aircraft is parked, 90% is caused by actors and 10% by the aircraft
itself. Damage is most frequently inflicted by actors that attach vehicles or equipment to the
aircraft passenger- or cargo doors. High incident rates for catering trucks, baggage trucks/carts
and cargo loaders may be explained by the fact that these actors usually service the aircraft with
more vehicles at a time.
During pushback and towing, ground service equipment causes most frequently damage to the
aircraft. This is probably caused by the several interfaces (aircraft towbar pushback truck)
and organizations (operator GHO maintenance) involved.
In 27% of the aircraft damage incidents the origin is not specified. This is either caused by the
fact that the original report contains insufficient information, or that the cause of the damage has
not been found. Another 7% of the incidents consists of internal damage found on, or inflicted
to the aircraft. For a number of incidents included in this percentage, the damage cause is not
specified or found. This kind of unreported damage (over one-third of the incidents) poses the
highest risk to flight safety, as the damage has either not been noticed, or otherwise not been
reported.
28
NLR-CR-2007-961
In the current regulatory framework, ground handling safety is a shared responsibility between
operators and the airport. JAR-OPS 1 requires operators to establish a quality system, accident
prevention and flight safety programme, and an occurrence reporting system. ICAO Annex 14
requires airports to establish a safety management system. Regulations do not require other
organizations present on the airport to have an operational safety management system or meet
minimum (safety) standards like IATA recommended industry standards.
Richtlijn 2003/42/EG provides a good opportunity to identify and assess actual risk levels in the
ground handling process. However, there are various reporting lines, which may lead to
scattered information present at either the operator, Airport Authorities or National Aviation
Authorities. Additionally, several reporting filters may be applied by operators or airports
before occurrences are reported to the National Aviation Authorities. When no clear reporting
standards on what to report are established and agreed upon by all actors involved, valuable
information is denied to the National Aviation Authorities, with which safety at the airport
could have been improved.
29
NLR-CR-2007-961
References
ICAO Doc 9137 AN/898 Airport Services Manual part 8, Airport Operational Services. First
edition, 1983.
ICAO Doc 9774 AN/969 Manual on Certification of Aerodromes. First edition, 2001.
ICAO Doc 9859 AN/460 Safety Management Manual (SMM). First edition, 2006.
Leemans, M.J.P., Poolman, M.R., Mussche, M.C., Ramsay-Acona, C., White, P.D., Chen, R.K.,
2005. Eindrapport Veiligheidsonderzoek Schiphol 2005. R-04-08-070, KplusV.
Van der Geest, P.J., Dees, U.G., 2005. Kennisbasis voor een internationale vergelijking van de
veiligheid van Schiphol. NLR-CR-2005-517, NLR Amsterdam.
30
NLR-CR-2007-961
Legend:
1) Taxiway
2) Aircraft stand
3) Aircraft stand marking
4) Aircraft stand clearance line
5) Aircraft clearance line
6) Movement area jetway
7) Fuel hydrant pit
8) Parking space ground handling equipment with height restriction
9) Parking space ground handling equipment
10) Access/exit
11) Jetway
31
NLR-CR-2007-961
Source: www.boeing.com
32
NLR-CR-2007-961
33
NLR-CR-2007-961
Phase = Taxi to
Taxi-in Docking Standing Pushback Towing
Interfaces sum runway Plower Pmean Pupper
Aircraft causes collision to:
Jetway 87 25 42 12 5 3 2.46E-02 3.06E-02 3.76E-02
Stairs 30 5 20 2 3 7.14E-03 1.06E-02 1.50E-02
Conveyor belt 13 7 5 1 2.44E-03 4.58E-03 7.81E-03
Baggage truck/cart 12 5 4 2 1 2.18E-03 4.22E-03 7.37E-03
Cargo loader 19 2 16 1 4.03E-03 6.69E-03 1.04E-02
Cargo dolly 1 1 8.91E-06 3.52E-04 1.96E-03
GSE 34 1.5 6.5 11 11 2 2 8.30E-03 1.20E-02 1.67E-02
Fuel/hydrant truck 19 1.5 13.5 1 2 1 4.03E-03 6.69E-03 1.04E-02
Catering truck 18 7 4 6 1 3.76E-03 6.34E-03 9.99E-03
Cleaning truck 2 1 1 8.53E-05 7.04E-04 2.54E-03
Maintenance equipment 32 27 1 1 3 7.72E-03 1.13E-02 1.59E-02
Toilet service truck 5 1 4 5.72E-04 1.76E-03 4.10E-03
Potable water truck 0 none 0.00E+00 1.30E-03
De/anti-icing truck/rig 8 1 2 5 1.22E-03 2.82E-03 5.54E-03
Unspecified/other vehicle 23 4 5 3 6 2 3 5.14E-03 8.10E-03 1.21E-02
Other aircraft 33 1.5 3.5 16 7 5 8.01E-03 1.16E-02 1.63E-02
Total ground damage incidents 2841 38 109 2399 187 59 49 9.99E-01 1.00E+00 none
Plower 9.48E-03 3.16E-02 8.31E-01 5.70E-02 1.58E-02 1.28E-02
Pmean 1.34E-02 3.84E-02 8.44E-01 6.58E-02 2.08E-02 1.72E-02
Pupper 1.83E-02 4.61E-02 8.58E-01 7.56E-02 2.67E-02 2.27E-02
Pmean = Probability of incident occurring as part of the total number of ground damage incidents
Plower = Probability reliability lower limit
Pupper = Probability reliability upper limit
34
NLR-CR-2007-961
Phase = Taxi to
Taxi-in Docking Standing Pushback Towing
Interfaces sum runway Plower Pmean Pupper
Aircraft causes collision to:
Jetway 10 3 7 1.28E-02 2.65E-02 0.00E+00
Stairs 6 1 4 1 5.85E-03 1.59E-02 0.00E+00
Conveyor belt 0 none 0.00E+00 0.00E+00
Baggage truck/cart 1 1 6.70E-05 2.65E-03 0.00E+00
Cargo loader 2 2 6.41E-04 5.29E-03 0.00E+00
Cargo dolly 0 none 0.00E+00 0.00E+00
GSE 4 1 3 2.89E-03 1.06E-02 0.00E+00
Fuel/hydrant truck 0 none 0.00E+00 0.00E+00
Catering truck 1 1 6.70E-05 2.65E-03 0.00E+00
Cleaning truck 0 none 0.00E+00 0.00E+00
Maintenance equipment 8 7 1 9.18E-03 2.12E-02 0.00E+00
Toilet service truck 1 1 6.70E-05 2.65E-03 0.00E+00
Potable water truck 0 none 0.00E+00 0.00E+00
De/anti-icing truck/rig 0 none 0.00E+00 0.00E+00
Unspecified/other vehicle 3 1 2 1.64E-03 7.94E-03 0.00E+00
Other aircraft 2 2 6.41E-04 5.29E-03 0.00E+00
Pmean = Probability of incident occurring as part of the total number of ground damage incidents
Plower = Probability reliability lower limit
Pupper = Probability reliability upper limit
35
NLR-CR-2007-961
Pushback
Pushback
7%
3%
Taxi to Standing
Standing Taxi to
runway 92%
84% runway
2%
1%
Towing
Towing
2%
2%
Taxi-in
Taxi-in
1%
0%
Docking
Docking
4%
2%
1400
1288
1200
Number of incidents
1000
800
600
400
136
200 80.5 63 87
8.5 5.5 12.5 26 6 22 12
0
Taxi-in Docking Standing Pushback Taxi to runway Towing
Phase
250
215
200
Number of incidents
150
100
50 26
0 0 6 0 4 5 0 1 2 2
0
Taxi-in Docking Standing Pushback Taxi to runway Towing
Phase
36
NLR-CR-2007-961
100
50
0
Taxi-in Docking Standing Pushback Taxi to runway Towing
Phase
Jetway
Incident distribution per interface (Schiphol) Stairs
50 Conveyor belt
Baggage truck/cart
Cargo loader
45
Cargo dolly
GSE
40 Fuel/hydrant truck
Catering truck
Cleaning truck
35 Maintenance equipment
Toilet service truck
Number of incidents
20
15
10
0
Taxi-in Docking Standing Pushback Taxi to runway Towing
Phase
37
Aircraft caused collision Actor caused collision Aircraft caused collision Actor caused collision
0
1
2
3
4
5
0
1
2
3
4
5
5
4
3
2
1
0
5
4
3
2
1
0
NLR-CR-2007-961
GSE GSE
38
Fuel/hydrant truck Fuel/hydrant truck
4. Comparison incident distribution per phase Taxi-in
0
5
10
15
20
25
30
30
25
20
15
10
5
0
0
5
10
15
20
25
30
30
25
20
15
10
5
0
NLR-CR-2007-961
Jetway Jetway
Stairs Stairs
GSE GSE
39
Fuel/hydrant truck Fuel/hydrant truck
5. Comparison incident distribution per phase Docking
Other/unspecified Other/unspecified
vehicle vehicle
225
200
175
150
125
100
75
50
25
0
225
200
175
150
125
100
75
50
25
0
0
25
50
75
100
125
150
175
200
225
0
25
50
75
100
125
150
175
200
225
NLR-CR-2007-961
Jetway Jetway
Stairs Stairs
GSE GSE
6. Incident distribution per phase Standing
40
Fuel/hydrant truck Fuel/hydrant truck
Maintenance Maintenance
equipment equipment
Incident distribution per phase - Standing (overall)
Other/unspecified Other/unspecified
vehicle vehicle
60
50
40
30
20
10
0
60
50
40
30
20
10
0
0
10
20
30
40
50
60
0
10
20
30
40
50
60
NLR-CR-2007-961
Jetway Jetway
Stairs Stairs
GSE GSE
7. Incident distribution per phase Pushback
41
Catering truck Catering truck
Maintenance Maintenance
equipment equipment
Incident distribution per phase - Pushback (overall)
Other/unspecified Other/unspecified
vehicle vehicle
10
5
0
10
5
0
0
5
10
0
5
10
NLR-CR-2007-961
Jetway Jetway
Stairs Stairs
GSE GSE
42
8. Incident distribution per phase Taxi to runway
15
10
5
0
0
5
10
15
15
10
5
0
0
5
10
15
NLR-CR-2007-961
Jetway Jetway
Stairs Stairs
43
GSE GSE
Other/unspecified Other/unspecified
vehicle vehicle
Operator
JAR-OPS 1
Amsterdam ICAO
Airport RCL
Schiphol Algemeen
Luchthavenreglement
Maintenance
Fuel provider
Catering
Cleaning
Toilet service
De/anti-icing
= Contract arrangements
44